JAMES MARCUS WILDER PA-C
NPI 1942298609
Physician Assistant in Trion, GA

Q: What is James Wilder's NPI number?

The NPI number for James Wilder is 1942298609. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Q: What is James Wilder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for James Wilder was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

160 CENTRAL AVE, TRION, GA 30753(706) 734-7302(706) 734-7356 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About James Marcus Wilder Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES MARCUS WILDER PA-C (NPI 1942298609) is an individual physician assistant in Trion, Georgia, licensed in Georgia (6558) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Duke University School Of Medicine (1990).

NPPES Registry Identity

NPI1942298609

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAMES MARCUS WILDERCredential: PA-C

Location Address160 CENTRAL AVETrion, GA 30753-1125

Mailing AddressPo Box 12938Calhoun, GA 30703-7013 · (706) 602-7800

Phone(706) 734-7302

Fax(706) 734-7356

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1990

Enumeration DateOctober 7, 2005

Last NPPES UpdateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1942298609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 6558

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

160 CENTRAL AVE, Trion, GA 30753

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Marcus Wilder Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224121801

PECOS Enrollment IDI20130916000413

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

207 services103 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

125 services85 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

100 services20 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

84 services29 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

62 services15 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110054

Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.78

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers45 claims98 services$5.39 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier15 claims15 services$45.86 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers44 claims44 services$100.77 avg. paid by Medicare

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825

DME-Wheelchairs · category DD009N

1 supplier17 claims17 services$220.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WAYNE T RICHEY MD

Family Medicine